Individual provider Active NPI

Ferendez Rayqun Lowery, LICSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1407739154
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6383C Issued in AL
Practice address
3550 Grandview Pkwy Apt 411
Birmingham, AL 35243-1968
Phone
(205) 644-2598
NPI assigned
Jul 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6383C AL Primary

Addresses

Primary practice location

3550 Grandview Pkwy Apt 411
Birmingham, AL 35243-1968

Mailing address

505 20TH St N Ste 1220179
Birmingham, AL 35203-2605
Phone (205) 644-2598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504005894 AL Practitioner - Clinical Social Worker 7214436153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

107 Midway LN
Anniston, AL 36206-7514

3550 Grandview Pkwy
Apt 411
Birmingham, AL 35243-1904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6383CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Diamond Counseling LLC Clinical CurrentSince Apr 27, 2026 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1407739154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 20TH ST N STE 1220179",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352032605",
            "telephone_number": "205-644-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 GRANDVIEW PKWY APT 411",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431968",
            "telephone_number": "205-644-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "FERENDEZ",
        "middle_name": "RAYQUN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "6383C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.